Rob Fleming's Avatar

Rob Fleming

@robjimfleming

Doctor / Academic | Specialist (SAS) Anaesthetist | Clinical Associate Professor | UK | He / him | FRCA | Award winning irreverence | "non-sea lion" | Part of @SAScollective.com | #SASsix | #PERUSEbeforeYouInfuse Opinions many, all very much mine!

6,252
Followers
8,227
Following
1,872
Posts
07.10.2023
Joined
Posts Following

Latest posts by Rob Fleming @robjimfleming

I thought about this during COVID-19, and wondered why we don't talk about the 1918 H1N1. Why is there no art set in the period? No books, no plays. It is a mostly forgotten period of history.

Now I get it. We don't want to remember this time either.

06.03.2026 08:49 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Kids will learn about "eat out to help out" in school, and refuse to believe anyone could have been so stupid.

They will read about the post-pandemic fall in vaccination, and learn something about how poor crisis management and the resulting mistrust of authority costs even more lives.

06.03.2026 08:38 πŸ‘ 6 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0
Preview
β€˜A new normal’: inquiry’s key findings on how Covid changed UK society Final module focuses on legacy and impact on mental health, particularly for key workers, vulnerable and bereaved people

I wonder how many things the COVID enquiry will tell us.

Governments follow the science only if it doesn't impact what they wanted to do anyway.

Key workers will indeed work for claps.

We all forget it all, all too quickly, because remembering hurts.

www.theguardian.com/world/2026/m...

06.03.2026 08:30 πŸ‘ 8 πŸ” 2 πŸ’¬ 2 πŸ“Œ 0

Warmer in London than the Midlands, definitely. It doesn't look like this at home yet.

05.03.2026 17:59 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Blossom.

Blossom.

Magnolias.

Magnolias.

Definitely spring in Tavistock Square.

Phone #photography, as it is all I have on me for a change.

05.03.2026 10:02 πŸ‘ 23 πŸ” 1 πŸ’¬ 2 πŸ“Œ 0

I am reminded of two concepts.

"4D chess" - what supporters of a political movement think is going on, when its actions seem to be foolish.

"Playing chess with a pigeon" - what everyone else sees, as the foolish pigeon knocks over the pieces, craps on the board, and struts around like they won.

05.03.2026 08:45 πŸ‘ 15 πŸ” 5 πŸ’¬ 0 πŸ“Œ 0
Post image

FT comments section this morning - saying what everyone else is thinking, right?

05.03.2026 07:15 πŸ‘ 17025 πŸ” 5938 πŸ’¬ 509 πŸ“Œ 493
Calm sea to the left, deserted beach with dunes to the right, low hills beyond. Two sorts of clouds, fluffy ones and stretched out ones, both altocumulus

Calm sea to the left, deserted beach with dunes to the right, low hills beyond. Two sorts of clouds, fluffy ones and stretched out ones, both altocumulus

Oh be still my beating heart, altocumulus floccus AND lenticularis. What an evening.

03.03.2026 19:42 πŸ‘ 60 πŸ” 5 πŸ’¬ 1 πŸ“Œ 0
Landscape not long before sunset. Blue and amber sky, white and grey clouds. Dark horizon silhouetted against the sun. Three trees to the right of the horizon.

Landscape not long before sunset. Blue and amber sky, white and grey clouds. Dark horizon silhouetted against the sun. Three trees to the right of the horizon.

Portrait orientation landscape not long after sunset. Blue and amber sky, white and grey clouds. Dark horizon silhouetted against the sun. Three trees to the right of the horizon.

Portrait orientation landscape not long after sunset. Blue and amber sky, white and grey clouds. Dark horizon silhouetted against the sun. Three trees to the right of the horizon.

Different sky every night. Don't forget to look up occasionally, folks.

R7, sigma lens at F/8.

#photography

02.03.2026 20:30 πŸ‘ 56 πŸ” 4 πŸ’¬ 1 πŸ“Œ 0

Not a good day for the UK PM.

A lot of criticism at home for letting the USA use UK bases, AND criticism from Trump for not doing so quicker.

02.03.2026 15:25 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Slice of lemon, floating in a glass of lemonade and ice.

Slice of lemon, floating in a glass of lemonade and ice.

You won't find peace at the bottom of a glass, although lemonade is a good try.

I do, however, quite like the circle in a circle in a circle of this. It is aesthetically pleasing.

20D, cheap prime. #photography

01.03.2026 17:10 πŸ‘ 12 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

It is a once every five years kind of problem to have.

01.03.2026 12:25 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
Map of France, showing "famous towns and cities".

Map of France, showing "famous towns and cities".

Right, I need the advice of the Bluesky photographers, travellers, folks of culture.

We are planning a road trip through France at some point in the summer.

If you were travelling from Calais to the south of France and back, stopping two or three times in each direction, where would you stop... ?

01.03.2026 10:14 πŸ‘ 4 πŸ” 1 πŸ’¬ 4 πŸ“Œ 3
Tiramisu in a bowl, with a spoon, perched on the arm of a leather armchair.

Tiramisu in a bowl, with a spoon, perched on the arm of a leather armchair.

Completed tiramisu.

All images taken with my R7, and a Sigma F/2.8 lens.

#photography

28.02.2026 21:02 πŸ‘ 10 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
First row of soaked ladyfingers.

First row of soaked ladyfingers.

White stuff, grated chocolate.

White stuff, grated chocolate.

Second row of ladyfingers.

Second row of ladyfingers.

Completed tiramisu, surrounded by cocoa powder and grated chocolate debris.

Completed tiramisu, surrounded by cocoa powder and grated chocolate debris.

The making of a tiramisu - construction.

Sorry (again) to any watching Italians for the deviations from tradition, intentional or otherwise.

28.02.2026 21:02 πŸ‘ 6 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
Alcohol-free coffee liqueur.

Alcohol-free coffee liqueur.

Cream and mascarpone being whipped together.

Cream and mascarpone being whipped together.

A "boudoir" ladyfinger biscuit.

A "boudoir" ladyfinger biscuit.

Dark chocolate and a grater.

Dark chocolate and a grater.

The making of a tiramisu - ingredients.

Sorry to any watching Italians for the deviations from tradition, intentional or otherwise.

28.02.2026 21:02 πŸ‘ 10 πŸ” 0 πŸ’¬ 2 πŸ“Œ 0

Thinking about all my friends, colleagues, and family currently living and working in the Middle East. I have all of the above.

"Board of Peace starts its first war" is a headline straight out of a dystopian novel, isn't it?

28.02.2026 19:45 πŸ‘ 15 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0
Blue sky with a hint of pink from the low sun. Few clouds. Green field with tractor lines from last year, filled with water reflecting the sky above.

Blue sky with a hint of pink from the low sun. Few clouds. Green field with tractor lines from last year, filled with water reflecting the sky above.

I do like sun after rain, even if I had to get wet feet to get this photo.

I take a lot of photos from this spot, as the crop grows around the tractor lines.

R7, wide end of a Sigma lens.

#photography

28.02.2026 18:21 πŸ‘ 16 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Southwell Minster in all its glory, photographed from below. Blue and white sky above.

Southwell Minster in all its glory, photographed from below. Blue and white sky above.

Shadow of the photographer across the Minster graveyard. The long shadow of mortality, or something.

Shadow of the photographer across the Minster graveyard. The long shadow of mortality, or something.

Texture of the archway above the main Minster door.

Texture of the archway above the main Minster door.

A few more.

28.02.2026 18:14 πŸ‘ 7 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Southwell Minster photographed through the arch. Wet pavement, with the colours of the Minster reflected on the ground. Blue sky and grey white clouds overhead.

Southwell Minster photographed through the arch. Wet pavement, with the colours of the Minster reflected on the ground. Blue sky and grey white clouds overhead.

Sun after rain. I like how the Minster is reflected in the wet ground.

R7, wide end of a Sigma lens.

#photography

28.02.2026 18:12 πŸ‘ 19 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0

Post a pic you took, no context, to bring some zen to the feed.

28.02.2026 12:33 πŸ‘ 11 πŸ” 0 πŸ’¬ 0 πŸ“Œ 4
Portrait of the artist, Jim Fleming, in his latter bearded fisherman stage.

Portrait of the artist, Jim Fleming, in his latter bearded fisherman stage.

Been in my dad's flat today, sorting some stuff. He has been gone seven months. Time passes.

He was a deeply talented, and deeply frustrating man. It wasn't always easy being his son.

My template for adulthood didn't know how to be an adult himself, bless him. Little hope for either of us.

27.02.2026 16:52 πŸ‘ 14 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

It me!

#SASsix

26.02.2026 16:31 πŸ‘ 12 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

The @fmlm-uk.bsky.social are the most recent organisation to publicly support the #SASsix campaign, because our aims align with theirs. Leadership matters a great deal.

The SAS Collective remains very grateful for that support, and for inviting us to take part in today's event.

26.02.2026 15:09 πŸ‘ 2 πŸ” 2 πŸ’¬ 1 πŸ“Œ 0

One of our simultaneous sessions today - β€œSAS Leadership - Voice, Visibility and Impact”.

26.02.2026 12:40 πŸ‘ 0 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
Bearded fool, and panel of SAS leaders, in front of a slide that says "there is more than one path".

Bearded fool, and panel of SAS leaders, in front of a slide that says "there is more than one path".

Slide in the wild.

Playing "count the paths" at our session for the @fmlm-uk.bsky.social conference in Liverpool. There is more than one.

Thanks to all the folks who joined us!

Leadership needs to be open to SAS doctors, if we want everyone's experience to matter in developing services.

#SASsix

26.02.2026 14:31 πŸ‘ 10 πŸ” 1 πŸ’¬ 0 πŸ“Œ 1
White and green lanyard:

"Faculty of Medical Leadership and Management

Dr Rob Fleming

Speaker"

White and green lanyard: "Faculty of Medical Leadership and Management Dr Rob Fleming Speaker"

Enjoying the opening comments and talks from Dame Celia Ingham Clark and Prof Rich Withnall at today's @fmlm-uk.bsky.social conference in Liverpool.

Leadership: is it just a job? What are your thoughts?

Looking forward to our SAS workshop towards the end of the morning. See you there!

26.02.2026 10:32 πŸ‘ 6 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

Rain on your wedding day isn't ironic.

A song called "ironic" which does not feature a single example of irony, might actually be ironic.

Meta-irony, if you will.

24.02.2026 20:45 πŸ‘ 97 πŸ” 6 πŸ’¬ 9 πŸ“Œ 0
But I am very poorly today, and very stupid, and I hate everybody and everything.

But I am very poorly today, and very stupid, and I hate everybody and everything.

Charles Darwin suffered wirh depression.

"But I am very poorly today, and very stupid, and I hate everybody and everything."

Remember, folks, when you feel like this, and I really do today, your legacy might be incredible.

Might not be, though, I suppose. We aren't all going to be Darwin.

24.02.2026 18:41 πŸ‘ 18 πŸ” 0 πŸ’¬ 2 πŸ“Œ 0
Blue, pink, yellow and orange sky above a perfect black foreground, including three skeletal trees.

Blue, pink, yellow and orange sky above a perfect black foreground, including three skeletal trees.

I like the silhouetted foreground you get when you expose for the sky, at or just after sunset.

The more colourful the sky, the more I like the jet-black horizon.

700D, cheap lens. #photography

22.02.2026 22:43 πŸ‘ 67 πŸ” 4 πŸ’¬ 0 πŸ“Œ 0